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1127970

registered interest
date	21/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Doctors: Equal Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to evaluate the potential effect on the gender pay gap in medicine of the Government’s decision not to include (a) consultants and (b) specialist and associate speciality doctors in the NHS shared parental leave entitlement implemented in April 2019.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	256964
answer	answer is ministerial correction date of answer 30/05/2019 answer text <p>The shared parental leave arrangements introduced in April 2019 were part of the Agenda for Change pay and contract reform agreement and enacted via changes to the National Health Service Terms and Conditions of Service Handbook.</p><p>The provisions were extended to doctors and dentists in training, by virtue of the fact that their contractual arrangements mirror certain non-pay schedules from the NHS Handbook.</p><p>The current terms and conditions for consultants and specialty and associate specialist (SAS) doctors do not share these same schedules and therefore the changes do not automatically apply to these staff.</p><p>We firmly believe that all members of NHS staff should be treated equally. Established routes for contractual changes are via NHS Employers. Medical trades unions have been invited by NHS Employers to adopt the same non-pay schedules from the NHS Handbook for consultant and SAS doctors as have already been adopted by doctors and dentists in training, including those relating to shared parental leave.</p><p>An evaluation on the potential effect on the gender pay gap in medicine of not including consultants and specialty and associate specialist doctors in the NHS shared parental leave entitlement has not been planned.</p><p>The Department has commissioned an independent review into the gender pay gap in medicine, chaired by Professor Dame Jane Dacre. The review, which commenced in April 2018, is currently examining qualitative and quantitative evidence which will help identify the impact of cultural, practical and psychological issues that contribute to the gender pay gap in medicine.</p><p>The evidence collected and examined will go on to produce a series of implementable recommendations for publication in September 2019.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 256965 question first answered 30/05/2019 10:36:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	1436 label Biography information for Paul Farrelly

1127971

registered interest
date	21/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	General Practitioners: Parental Leave
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will review his decision not to include (a) consultants and (b) speciality and associate specialist doctors in the eligibility criteria for NHS shared parental leave entitlement implemented in April 2019.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	256965
answer	answer is ministerial correction date of answer 30/05/2019 answer text <p>The shared parental leave arrangements introduced in April 2019 were part of the Agenda for Change pay and contract reform agreement and enacted via changes to the National Health Service Terms and Conditions of Service Handbook.</p><p>The provisions were extended to doctors and dentists in training, by virtue of the fact that their contractual arrangements mirror certain non-pay schedules from the NHS Handbook.</p><p>The current terms and conditions for consultants and specialty and associate specialist (SAS) doctors do not share these same schedules and therefore the changes do not automatically apply to these staff.</p><p>We firmly believe that all members of NHS staff should be treated equally. Established routes for contractual changes are via NHS Employers. Medical trades unions have been invited by NHS Employers to adopt the same non-pay schedules from the NHS Handbook for consultant and SAS doctors as have already been adopted by doctors and dentists in training, including those relating to shared parental leave.</p><p>An evaluation on the potential effect on the gender pay gap in medicine of not including consultants and specialty and associate specialist doctors in the NHS shared parental leave entitlement has not been planned.</p><p>The Department has commissioned an independent review into the gender pay gap in medicine, chaired by Professor Dame Jane Dacre. The review, which commenced in April 2018, is currently examining qualitative and quantitative evidence which will help identify the impact of cultural, practical and psychological issues that contribute to the gender pay gap in medicine.</p><p>The evidence collected and examined will go on to produce a series of implementable recommendations for publication in September 2019.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 256964 question first answered 30/05/2019 10:36:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	1436 label Biography information for Paul Farrelly

1127680

registered interest
date	20/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Psychiatric Hospitals: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that children are not unnecessarily admitted to mental health hospitals.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	256250
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Department is committing increased expenditure to support the provision of mental health services in the community, to reduce the need for children to be admitted to mental health hospitals unless absolutely necessary.</p><p>Through the NHS Long Term Plan, published in January 2019, mental health funding will grow by at least £2.3 billion a year by 2023/24, with funding for children and young people’s mental health services growing faster than both overall National Health Service funding and total mental health spending. This extra investment will mean an extra 345,000 children and young people aged 0-25 will receive mental health support by 2023/24.</p><p>The key proposals in ‘Transforming children and young people’s mental health provision: a green paper’ aim to improve early intervention. New mental health support teams will deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues in 25 trailblazer areas in England. 12 of the 25 trailblazer sites will pilot a four-week waiting time to speed up children and young people’s access to NHS mental health services.</p><p>Over the next five years, the NHS will therefore continue to invest in expanding access to community-based mental health services to meet the needs of more children and young people.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Furthermore, the Government is committed to reviewing mental health legislation so that it works better for both adults and children. We are currently considering the findings from the independent review of the Mental Health Act 1983, which covers how a person can be detained or sectioned for treatment and will respond in due course.</p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:47:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1127334

registered interest
date	17/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Isotretinoin: Side Effects
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential health risks and psychiatric side-effects of the drug Roaccutane.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255661
answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1127095

registered interest
date	16/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Retinoblastoma: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that GPs are trained to identify retinoblastoma in young children.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255295
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Each individual medical school sets its own undergraduate medical curriculum. These have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained.</p><p>The curricula for postgraduate specialty training is set by individual royal colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners sets the curriculum for general practitioners (GPs). In order to demonstrate the core competences in the care of children and young people, the curriculum sets out that GPs should be aware of the early presenting symptoms of childhood cancers and possible differentials, such as retinoblastoma.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255296 question first answered 21/05/2019 16:18:23 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1127100

registered interest
date	16/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Retinoblastoma: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that optometrists are trained to identify retinoblastoma at an early stage in young children.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255296
answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Each individual medical school sets its own undergraduate medical curriculum. These have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained.</p><p>The curricula for postgraduate specialty training is set by individual royal colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners sets the curriculum for general practitioners (GPs). In order to demonstrate the core competences in the care of children and young people, the curriculum sets out that GPs should be aware of the early presenting symptoms of childhood cancers and possible differentials, such as retinoblastoma.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255295 question first answered 21/05/2019 16:18:23 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1127225

registered interest
date	16/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to help ensure that public health campaigns on nutrition and obesity do not create stigma which can contribute to appearance-based bullying.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	255299
answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>Public Health England (PHE) does not run any public health campaigns which focus on body shape and appearance-based bullying.</p><p>PHE runs a range of campaigns on nutrition and obesity including One You, our adult programme, and Change4Life which targets the families of primary school children. These campaigns are designed to communicate the positive benefits of healthier lifestyles.</p><p>Campaign messaging and imagery is developed in consultation with expert nutritionists and dieticians, clinicians and academics and is carefully tested with the target audience. Imagery used in our adult One You campaign is designed to reflect the diversity of the population, whilst Change4Life uses animated characters that are designed to be generic and to represent every family. More on One You and Change4Life can be viewed at the following links:</p><p><a href="https://www.nhs.uk/oneyou/" target="_blank">https://www.nhs.uk/oneyou/</a></p><p><a href="https://www.nhs.uk/change4life" target="_blank">https://www.nhs.uk/change4life</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 13:51:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1126030

registered interest
date	13/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Vaccination: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that parents are given adequate advice and information on vaccination programmes.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	253521
answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>Public Health England (PHE) ensures health professionals have current, accurate information on the benefits of immunisation, so they can communicate this information to parents. PHE provides the Department with expert evidence and advice (and nationally procures many vaccines). PHE also supports NHS England with information, expert advice, capacity and support at national and local level.</p><p>PHE recommends people visit the National Health Service website as the NHS is a highly trusted source of information. This is available at the following link:</p><p><a href="https://www.nhs.uk/conditions/vaccinations/" target="_blank">https://www.nhs.uk/conditions/vaccinations/</a></p><p>There are also a range of information leaflets, available online and from health professionals, about the different vaccination programmes at the following link:</p><p><a href="https://www.gov.uk/government/collections/immunisation#immunisation-leaflets-and-guidance-for-parents" target="_blank">https://www.gov.uk/government/collections/immunisation#immunisation-leaflets-and-guidance-for-parents</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 16/05/2019 15:46:15 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1126031

registered interest
date	13/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dementia: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that (a) dementia and (b) Alzheimer’s are diagnosed (i) correctly and (ii) as quickly as possible.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	253522
answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The Government’s mandate to NHS England requires NHS England to deliver the actions set out in the Challenge on Dementia 2020 Implementation Plan. The Implementation Plan envisages that:</p><p>“In every part of the country people with dementia having equal access to diagnosis as for other conditions, with an expectation that the national average for an initial assessment should be 6 weeks following a referral from a GP (where clinically appropriate), and that no one should be waiting several months for an initial assessment of dementia.”</p><p>We have made great strides in delivering the Challenge: this includes being above NHS England’s target for two thirds of people living with dementia to receive a formal diagnosis. Our focus now is on reducing the variation of local diagnosis rates and NHS England have programmes in place to further improve the quality and timeliness of diagnosis.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/05/2019 11:37:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1436 label Biography information for Paul Farrelly

1126061

registered interest
date	13/05/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Medicine: Research
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of ensuring it is made clear whenever health research is commercially funded.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	253523
answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The merits of clarifying research funding sources are enshrined in Health Research Authority policy on health and care research which is available at the following link:</p><p><a href="https://www.hra.nhs.uk/documents/1068/uk-policy-framework-health-social-care-research.pdf" target="_blank">https://www.hra.nhs.uk/documents/1068/uk-policy-framework-health-social-care-research.pdf</a></p><p>Researchers are required to register studies on a public research register before they begin. All trials of medicines are automatically published by the European Union on the EU clinical trial register which is available at the following link:</p><p><a href="https://www.clinicaltrialsregister.eu/" target="_blank">https://www.clinicaltrialsregister.eu/</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/05/2019 15:01:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1436 label Biography information for Paul Farrelly